70Z08519Q40419B00.pdf

Request for Quotation

USCG SURFACE FORCES LOGISTICS CENTER

2401 Hawkins Point Road, Mail Stop: 26

Baltimore, MD 21226-5000

TO: SKC JOEL OCHOA Voice: 410-762-6639 E-mail: JOEL.L.OCHOA@USCG.MIL

Please provide a quotation for the following, (E-mail on this form), no later than 04SEP2019 at 12:00 PM EST Ref. No. 70Z08519Q40419B00

This acquisition is: _X__Unrestricted / ____Set aside: _ _% for: Small business

PLEASE COMPLETE ALL HIGHLIGHTED INFORMATION

FROM: DATE:

ADDRESS:

CONTACT: _________________________________

PHONE: ________________________ FAX NUMBER: ________________________

****NOTE 2 LINE ITEMS****

• ITEM 1

NSN: 5935-01-681-3571

PART NUMBER: JPS634H

DESCRIPTION: CONNECTOR, PLUG, ELEC

ALTERNATE P/N: N/A

MFG:

QUANTITY: 10 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE/ SPEC DATA:

CONNECTOR, PLUG, ELEC

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH

SPECIFICATIONS:

INDIVIDUALLY PACKAGED IN ACCORDANCE WITH MIL-STD-2073-LE METHOD 10, CUSHIONED

IN A DOUBLE LAYER OF 3/4 IN BUBBLE WRAP AND PACKED IN AN APPROPRIATELY SIZED

ASTM-DS 118 DOUBLE-WALL FIBERBOARD BOX.

MARKING IAW MIL-STD-129R EXCEPT BAR CODED IAW ISO/IEC-16388-2007, CODE 39

SYMBOLOGY.

Please complete:

INDIVIDUAL PACK & MARK: YES_____NO_____ BAR-CODE: YES _____NO_____

REQUESTED DELIVERY: 10/19/2019

• ITEM 2

NSN: 5935-01-681-3559

PART NUMBER: JRSA634H

DESCRIPTION: CONNECTOR, RECEPTACLE

ALTERNATE P/N: N/A

MFG:

QUANTITY: 10 EA UNIT PRICE: ___________ TOTAL: ___________

DESCRIPTIVE/ SPEC DATA:

CONNECTOR, RECEPTACLE

PRESERVATION, PACKAGING & MARKING SHALL BE IN ACCORDANCE WITH

SPECIFICATIONS:

INDIVIDUALLY PACKAGED IN ACCORDANCE WITH MIL-STD-2073-LE METHOD 10, CUSHIONED

IN A DOUBLE LAYER OF 3/4 IN BUBBLE WRAP AND PACKED IN AN APPROPRIATELY SIZED

ASTM-DS 118 DOUBLE-WALL FIBERBOARD BOX.

MARKING IAW MIL-STD-129R EXCEPT BAR CODED IAW ISO/IEC-16388-2007, CODE 39

SYMBOLOGY. DATED 07/19/19

Please complete:

INDIVIDUAL PACK & MARK: YES_____NO_____ BAR-CODE: YES _____NO_____

REQUESTED DELIVERY: 10/19/2019

EARLIEST PROPOSED DELIVERY: _________Timeframe___ Weeks/Days (circle one)

Payment Accepted: Gov. Purchase Card________ Purchase Order_________

PAYMENT TERMS:__________________________SMALL BUSINESS ? YES: __ NO: __

DUNS NO.: __________________________________

TIN NO.:______________________________ (Must fill in this item at all times)

ACTIVE IN SYSTEM FOR AWARD MANAGEMENT (REQUIRED FOR AWARD – SEE

(www.sam.gov): _______YES ________NO

Part covered under GSA Contract YES______NO_______(if yes, mark below)

CONTRACT NUMBER: ______________________

http://www.sam.gov/

Note: FOB Destination pricing is preferred, however, if item quoted is not FOB Destination quotation must include as a separate line item the following:

* Estimated shipping charge: $_________ *FOB Origin price from (City, State):

*SHIP TO:

United States Coast Guard SFLC Receiving Room – BLDG 88 2401 Hawkins Point RD Baltimore, MD 21226

PREPARATION FOR DELIVERY

PRESERVATION, PACKING, & MARKING SHALL BE IN ACCORDANCE

WITH SPECIFICATIONS:

-All material shipped to the U.S. Coast Guard, Surface Forces Logistics Center must be accompanied by an itemized packing list securely attached to the outside of the package.

All packing lists shall cite the purchase Order Number (when issued after award) with the package in such a manner as to provide identification.

Material shall be packed for shipment in such a manner as to afford adequate protection to the item against corrosion, deterioration, and physical damage during shipment from the supply source to the U.S. Coast Guard, SFLC locations.

Package shall also provide adequate protection for warehouse storage and multiple shipments.

All packages shall have Purchase Order Number, Stock Number and Vendor name and Part Number clearly marked on the exterior of the package.

All deliveries are to be made Monday through Friday between the hours of 7:00 A.M. to 1:00 P.M.

*DO NOT DIRECT SHIP FREIGHT CHARGES above $250.00. Please contact the procurement official with dimensions and weight so they can arrange a carrier pick up. Bill of Lading is required *

PAYMENT INFORMATION (NON-CREDIT CARD ORDERS)

Please read thoroughly to avoid invoice rejection.

All invoices must contain the following information: CG contract number, vendor’s invoice number, vendor’s DUNs & TINs number, cage number, PO item number, description of supplies or services, unit prices and extended totals. FOB Origin shipping costs will be indicated as a separate line item on the invoice (if applicable). Shipping cost $100 or more must be accompanied by a separate freight invoice when submitting an invoice(s) for payment (if applicable).

The preferred method to submit an invoice is by email to FIN-SMB-YardTeam@uscg.mil to receive payment. Additionally, a copy of the invoice must also be sent to the PO Issuing Office at: joel.l.ochoa@uscg.mil

An alternative method to submit an invoice is by mail to USCG YARD, P.O. Box 4122, Chesapeake, VA., 23327-4122. However, an invoice still must be sent via email to joel.l.ochoa@uscg.mil for record entry.

Billing inquiries: For questions relating to payment of invoices please contact Chesapeake Yard Team Customer Service at (800) 564-5504.

mailto:FIN-SMB-YardTeam@uscg.mil

PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY

U.S. COAST GUARD APPROVED

LABEL SHOULD HAVE THE

FOLLOWING:

PURCHASE ORDER NUMBER

NATIONAL STOCK NUMBER

PART NUMBER

ITEM NAME AND QUANTITY

VENDOR NAME

PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY * PREPARATION FOR DELIVERY